Use of an external fixator during one-step surgical management of missed chronic Monteggia injuries - 03/02/22
, Malo Le Hanneur a, Stéphanie Pannier b, Franck Fitoussi a
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Abstract |
The incidence of untreated Monteggia fracture-dislocations is not insignificant. But there is no consensus as to the surgical indication and best surgical technique to use. Single-stage reduction of the radial head through an elbow arthrotomy and ulnar osteotomy is a complex surgical procedure that requires stabilization of the ulnar segments during every step of the intervention. Here, we describe the possibility of using an external fixator intraoperatively to facilitate the various steps of the procedure: (1) gradual distraction and angulation of the osteotomy site to allow thorough excision of any interposed capsular tissue, (2) stable hold on the ulnar fragments independent of the surgical assistant, which allows the stability of the radial head reduction to be tested in pronation and supination and (3) facilitation of plate fixation at the ulnar osteotomy site.
Level of evidence |
IV; case series.
El texto completo de este artículo está disponible en PDF.Keywords : Monteggia, External fixator, Dislocation, Radial head
Esquema
Vol 108 - N° 1
Artículo 102963- février 2022 Regresar al número
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